Estimated Exchange QHPs as of 8/15/14: 7.88M PAID (9.07M Total)

Estimated Total, all sources: (24 Million - 29 Million)

Exchange + Off-Exchange QHPs: 15.9M  •  Medicaid/CHIP (6.9M - 9.8M)

ESIs (155K confirmed; up to 8M more possible)  •  Sub26ers (1.6M - 3.1M)

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Last night I posted about MI-11 GOP Congressional candidate David Trott, who spewed a litany of tired old bald-faced lies about the ACA.

This morning I received the following from a friend, regarding 2 Republican candidates for local/state office: Hugh Crawford (term-limited state representative, running for county commission...and hoping to swap places with his wife, who's currently a county commissioner running for his state rep seat) and Mike Kowall (state Senator running for re-election):

Last night was a candidates forum at Fox Run, the Novi retirement community. Candidates for the State House, State Senate, and County Commission were there. During the Q&A a question was raised whether the candidates supported Obamacare.

Both Hugh Crawford and Mike Kowall answered this way: "I don't like Obamacare, I would have voted against it, but I very much support Governor Snyder's Healthy Michigan Initiative, which brought the state over $400 Million in Federal Money."

It's no secret that I'm a progressive Democrat. It's also no secret that I live in the metro Detroit area (although I'm actually in MI-09, Sandy Levin's district, not MI-11). Obviously I'm a bit on the biased side when it comes to local Congressional races. All that said, MI-11 Republican candidate and foreclosure attorney David Trott (best known for kicking old ladies out of their homes) gave a newspaper interview recently which was jaw-droppingly full of nonsense when it comes to (among other subjects) the Affordable Care Act.

For starters, the question itself was disgustingly biased:

Many American families experienced sticker shock when the first monthly premium arrived for health insurance under the Affordable Care Act. Many also now have high deductibles that make them wary of getting medical care at all. What would you do too bring down costs and improve medical care?

...but Trott decided to one-up his interviewer in the gall department:

When I updated the Minnesota exchange numbers just a few days ago, they stood at 53,647 QHPs & 240,654 Medicaid/CHIP enrollees...or 294,301 total.

Just 3 days later, the MNsure exchange has tacked on almost 5,800 more people, breaking through the 300,000 mark:

More Than 300,000 Minnesotans Enroll in Quality Health Coverage Through MNsure

ST. PAUL, Minn.—MNsure today announced that 300,085 Minnesotans have enrolled in comprehensive, affordable health insurance coverage through the state health insurance marketplace.

“I’m proud to announce today that more than 300,000 Minnesotans have enrolled in health insurance through MNsure,” said MNsure CEO Scott Leitz. “During the State Fair, we hope to help even more Minnesotans find comprehensive, affordable coverage that meets the needs of their families or small businesses. Be sure to visit us in the Health Fair 11 building and bring your questions about MNsure.”

Whoops...found even more slightly-outdated ACA-related articles worth noting...

OREGON: Cover Oregon officials hope to repair broken state health insurance exchange for 2016

For those who assume Cover Oregon will go away when the federal government takes overthe state exchange's job of enrolling people in health coverage, think again.

Even as Oregon works on hooking up to the federal website by November, some Cover Oregon board members hope the engagement with Uncle Sam will be only a one-year affair.

I found one quote in particular to be a bit of an eyebrow-raiser:

But the idea is controversial on both sides of the political aisle in Salem.

"Hell, no," says Sen. Brian Boquist, R-Dallas. He thinks Oregon should leave the job to the federal exchange and Cover Oregon as a stand-alone agency should go away. "Cover Oregon, the whole structure is bad from beginning to end. I don't trust the federal government. But I do trust the federal government more than I do the state of Oregon."

The story itself is noteworthy mainly because it suggests that the ACA's individual mandate may be having a positive impact, as Wal-Mart reports that "far more" of their employees have enrolled in the company's healthcare program than they expected this year.

What strikes me, however, is how CNN Money is acting as though this is somehow a bad thing, since it "hits" their corporate profits for $500 million:

Health care costs hit Wal-Mart profit

Wal-Mart Stores says far more of its workers are signing up for its health care coverage than it expected.

Because of that, the world's largest retailer will earn less in the current fiscal year than it had previously promised investors.

While the requirement that employers provide health coverage has yet to take effect under Obamacare, the requirement that individuals have coverage has prompted people to compare plans available to them at work with plans offered on government exchanges.

Um, yup. That's exactly how it's supposed to work.

Interesting story (originally via Kaiser Health News) about a little-known provision of the Affordable Care Act which gives CMS (Centers for Medicare & Medicaid Services, a sub-section of the HHS Dept.) a $10 billion R&D/incubator budget over a decade to try out different methods for delivering healthcare and payments in a more efficient manner:

The law created the Center for Medicare and Medicaid Innovation to launch experiments in every state, changing the way doctors and hospitals are paid, building networks between caregivers and training them to intervene before chronic illness gets worse.

One example: George Washington University's $1.9 million award to improve care and cut costs for at-home dialysis patients. Another: CareFirst BlueCross BlueShield's $24 million grant to reduce unnecessary hospital visits for chronically ill Medicare patients.

The center's 10-year, $10 billion budget is the largest ever devoted to transforming care. In several states the office is working to overhaul medicine for nearly all residents -- not just those with government Medicare and Medicaid coverage.

Still clearing out my in box, but I'm at least able to devote a full entry to each story this morning. This one is from more than a week ago but still very noteworthy:

One of the nation’s largest hospital operators,Tenet Healthcare THC -0.12% (THC), last week opened a window into the differences for patients and hospital financial coffers between those states with Medicaid dollars and those without.

“In our five states that expanded Medicaid in 2014, we benefited from a significant migration of patients from uninsured into Medicaid with a 54% decline in uninsured admissions and a 27% decline in uninsured outpatient visits,” Tenet chief executive Trevor Fetter said during the company’s second-quarter earnings call last week.

In case you think this is just "cherry-picking" from a single hospital corporation, here's a similar story from back in May (when Medicaid expansion enrollment was significantly lower):

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